NPI 1659147791

Brandon Mark Thomas

Practitioner Optician Roseburg, OR

Practice location

Address: 2125 NW Stewart Pkwy, Roseburg, OR 97471-1693
Phone: (541) 957-8552
Mailing address: 552 W Center St, Roseburg, OR 97471-2319

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 253296 (OR)

Other Technician/Technologist providers in Oregon →

Registry record

NPI: 1659147791
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2023
Record last updated: 29 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.